Download ATI Med-Surg Proctored Exam | Latest Real Questions and Correct Answers – Grade A and more Exams Health sciences in PDF only on Docsity!
ATI MED SURG PROCTORED EXAM
LATEST REAL QUESTIONS AND
CORRECT ANSWERS GRADE A
A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include? - CORRECT ANSWER Take this medication between meals A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include? - CORRECT ANSWER Take this medication between meals. A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of the following interventions should the nurse recommend? - CORRECT ANSWER Wash daily with an antibacterial soap. A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER Avoid
medications in capsule or enteric form. A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make? - CORRECT ANSWER "Large incisions will be made in the burned tissue to improve circulation." A nurse is collecting data from a client who has a possible cataract. Which of the following manifestations should the nurse expect the client to report? - CORRECT ANSWER Decreased color perception A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care? - CORRECT ANSWER Maintain the client in Fowler's position. A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.) - CORRECT ANSWER 1) Buffalo hump 2) Purple striations 3) Moon face
.A nurse is assisting in the care of a client who is receiving a transfusion of packed red blood cells. The client develops itching and hives. Which of the following actions should the nurse take first? - CORRECT ANSWER Stop the transfusion. A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of Raynaud's phenomenon. Which of the following statements should the nurse identify as an indication that the client needs further teaching? - CORRECT ANSWER "I will keep my house at a cool temperature." A nurse is reinforcing teaching with a client who has iron deficiency anemia and is to start taking ferrous sulfate twice a day. Which of the following statements by the client indicate an understanding of the teaching? - CORRECT ANSWER "I will take the medication with orange juice." A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia? - CORRECT ANSWER Vitamin B .A nurse is caring for a client who is scheduled for surgical repair of a femur fracture and has a prescription for lorazepam preoperatively. Which of the following
statements by the client should indicate to the nurse that the medication has been effective? - CORRECT ANSWER "I feel very sleepy." A nurse is collecting data from a client who has AIDS. When checking the client's mouth, the nurse notes a white, creamy covering on the tongue and buccal membranes. The nurse should recognize this is a manifestation of which of the following conditions? - CORRECT ANSWER Candidiasis .A nurse is caring for a client who is postoperative open reduction and internal fixation with placement of a wound drain to repair a hip fracture. Which of the following actions should the nurse take? - CORRECT ANSWER Empty the suction device every 4 hr A nurse is assisting with teaching a client who has a history of smoking about recognizing early manifestations of laryngeal cancer. The nurse should instruct the client to monitor and report which of the following manifestations of laryngeal cancer? - CORRECT ANSWER Hoarseness .A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following laboratory values should the nurse review to determine the client's renal function? - CORRECT ANSWER Serum creatinine
A nurse is caring for a client who is receiving chemotherapy for treatment of ovarian cancer and experiencing nausea. Which of the following actions should the nurse take? - CORRECT ANSWER Encourage the client to drink a carbonated beverage 1 hr before meals. A nurse is assisting with the care of a client following a transurethral resection of the prostate (TURP) and has an indwelling urinary catheter. Which of the following actions should the nurse take? - CORRECT ANSWER Irrigate the catheter as prescribed. A nurse is evaluating discharge instructions for a client following a right cataract extraction. Which of the following client statements indicates the teaching is effective? - CORRECT ANSWER "I will take a stool softener until my eye is healed." A nurse is collecting data from a client who is 6 days post craniotomy for removal of an intracerebral aneurysm. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure? - CORRECT ANSWER Hypertension A nurse is caring for a client who has COPD. Which of the following actions should the nurse take? - CORRECT ANSWER Encourage the client to drink 8 glasses of water a day.
. A nurse is caring for a client who was admitted with major burns to the head, neck, and chest. Which of the following complications should the nurse identify as the greatest risk to the client? - CORRECT ANSWER Airway obstruction A nurse is collecting data from a client who was bitten by a tick one week ago. Which of the following client manifestations should the nurse identify as an indication of the development of Lyme disease? - CORRECT ANSWER An expanding circular rash A nurse is contribution to the plan of care for a client who is 12 hr postoperative following a right radical mastectomy with closed suction drains present. The nurse should expect that the client will be unable to perform which of the following activities with her right arm? - CORRECT ANSWER Combing her hair A nurse in a provider's office is collecting data for a 45- year-old client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect? - CORRECT ANSWER Report of dryness with vaginal intercourse A nurse is reinforcing teaching about breast selfexamination (BSE) with a client who has a regular
A nurse is reinforcing teaching with a client who has been newly diagnosed with chronic open angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER "I should call the clinic before taking any over-the-counter medications." A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take? - CORRECT ANSWER Verify that the suction regulator is on. A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.) - CORRECT ANSWER Encourage fluid intake. 2) Monitor the puncture site for hematoma. A nurse is assisting with the care of a client who is postoperative following surgical repair of a fractured mandible. The client's jaw is wired shut to repair and stabilize the fracture. The nurse should recognize which of the following is the priority action? - CORRECT ANSWER Prevent aspiration. A nurse is collecting data from a client who has scleroderma. Which of the following findings should the nurse expect? - CORRECT ANSWER Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a stroke. Which of the following actions should the nurse take? - CORRECT ANSWER Add thickener to fluids. A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and chest. The nurse should recognize which of the following is the priority risk to the client? - CORRECT ANSWER Airway obstruction A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER
- Take the medication 45 minutes before eating.
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER Take temperature once a day A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions? - CORRECT ANSWER Provide humidified oxygen. Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort? - CORRECT ANSWER Obtain a pair of slipper socks for the client. A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the nurse report to the provider? - CORRECT ANSWER Thick, red-colored urine A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia blanket. The nurse should monitor the client
for which of the following adverse effects of the hypothermia blanket? - CORRECT ANSWER Shivering A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER "I will not exercise if my urine is positive for ketones." A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take first? - CORRECT ANSWER Cover the client's wound with a moist, sterile dressing. A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect? - CORRECT ANSWER Hyperventilation A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching? - CORRECT ANSWER Avoid bending at the waist A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following
complications which of the following actions should be reinforced during the teaching? - CORRECT ANSWER Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises. A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all that apply.) - CORRECT ANSWER 1) Dyspnea 2) Barrel chest 3) Clubbing of the fingers 4) Shallow respirations A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which of the following actions should the nurse take first? - CORRECT ANSWER Test the drainage for glucose. A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia? - CORRECT ANSWER Prevent bladder distention. A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report? - CORRECT ANSWER Abnormal vaginal bleeding
A nurse is caring for a client following an open reduction and internal fixation of a fractured femur. Which of the following findings is the nurse's priority? - CORRECT ANSWER Altered level of consciousness A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should report to the provider?
- CORRECT ANSWER Abdomen is distended A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER Change the ostomy pouch daily A nurse is assisting in the plan of care for a client who had a removal of the pituitary gland. Which of the following actions should the nurse include in the plan? - CORRECT ANSWER Change the nasal drip pad as needed. A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects? - CORRECT ANSWER To prevent blood clotting
A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should report to the provider?
- CORRECT ANSWER Abdomen is distended A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22 PaCO2 68 mm Hg Base excess - 2 PaO2 78 mm Hg Oxygen saturation 80% Bicarbonate 28 mEq/L Which of the following interpretations of the ABG values should the nurse make - CORRECT ANSWER Respiratory acidosis A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching? - CORRECT ANSWER "I will wear stockings with elastic tops." A nurse is preparing to provide morning hygiene care for a client who has Alzheimer's disease. The client becomes agitated and combative when the nurse approaches him. Which of the following actions should the nurse plan to take? - CORRECT ANSWER Calmly ask the client if he would like to listen to some music.
A nurse is collecting data on a client's wound. The nurse observes that the wound surface is covered with soft, red tissue that bleeds easily. The nurse should recognize this is a manifestation of which of the following? - CORRECT ANSWER Granulation tissue A nurse is caring for a client who has multiple myeloma and has a WBC count of 2,200/mm3. Which of the following food items brought by the family should the nurse prohibit from being given to the client? - CORRECT ANSWER Fresh fruit basket A nurse is contributing to the plan of care for an older adult client who is postoperative following a right hip arthroplasty. Which of the following interventions should the nurse include in the plan? - CORRECT ANSWER Maintain abduction of the right hip. A nurse is caring for a client who has heart failure and respiratory arrest. Which of the following actions should the nurse take first? - CORRECT ANSWER Feel for a carotid pulse. A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make? - CORRECT ANSWER "Bypass surgery must be very frightening for you."
